Utilize my skills, talents, and working experience in coding, billing, records and information management, or other clerical positions.
Overview
29
29
years of professional experience
1990
1990
years of post-secondary education
Work History
Medical Records
Southwestern Medical Associates/GPPC SWMA
Orchard Park, New York
04.2014 - Current
Trained and mentored new employees and employees.
Maintained medical records in accordance with Hippa and NYS regulations and patient confidentiality.
Route incoming faxing and continuity care documents from specialists, hospitals,urgent care facilities, lab and radiology facilities, insurance companies and other providers' offices to designated doctors in office.
Work on Urgent,Priority, and Non-Priority Triages from doctors, nurses, front desk, care coordinators, and office manager.
Answer incoming phone calls that are transferred to Medical Records.
Scan labs,imaging reports,emergency and urgent care records, hospital records, old records from previous doctors and forms after doctors reviews into patient charts.
When manager on vacation, type letters if needed for doctors and nurses and do records releases.
Mark patients charts deceased or transferred.
Complete and obtain records for Hospital,ER, Rehab tracking.
Send Home Health Certifications and Recertifications to Billing Department for billing to insurance companies for reimbursement.
Obtain Preop testing, labs, imaging, Hospital and ER Records for doctors from Healthelink, EPIC (Catholic Health), Kaleida, and Quest websites for upcoming appointments or for patients that are in the office doctor's appointments.
Fax medical clearances, lab,imaging, and home health care orders to surgeons, hospitals and ambulatory facilities, and lab, radiology and home health care facilities.
Upload forms and documents for patients to their patient portal.
Rehab Secretary
GRNC
Gowanda, New York
10.2010 - 11.2014
Prepared: Rehab Packets for weekly rehab meeting and UR meeting, ROM & Ambulation audits, PT/OT/ST, Orthopedic Resident List for administrator.
Scanned and uploaded files into Sigma care.
Audited MDS signatures and therapist orders, annuals, quarterly, and 30-day MDS to make sure they were completed and in compliance.
Answered telephone and trained and mentored employee.
Compiled Tentative DC List and obtained rehab scripts and order DME equipment for patients that were discharging.
Assisted Director of Rehab with projections, sending daily caseload report, DOR report, weekly closeout, and pulling records chart reviews, appeals and insurance authorizations, and computer setup.
Receptionist
Robert J. Erickson, LLP
Orchard Park, New York
09.2009 - 08.2010
Greeted patients and pharmaceutical representatives.
Highlighted patient arrivals, verified and updated patients' insurance information in the computer.
Obtained patient referrals from insurance companies.
Confirmed next day appointments. Scheduled and rescheduled patient appointments.
Answered telephones.
Sent messages back to providers and nurses to addressed.
Filed and faxed patient records and correspondence into chart using Medent EMR.
Sorted and distributed mail to providers.
Medical Billing Clerk
Eye Care and Vision Associates
Orchard Park, NY
06.2004 - 07.2009
Posted payments from insurance companies and patients.
Mailed paper claim and submitted electronic claims to insurance companies.
Worked on insurance denials and aging reports for insurance companies and patients.
Submitted patient statements electronically to be mailed out to patients.
Entered charges and answered patient calls.
Utilized coding and billing procedures.
Check-In & Check-Out
Springville Pediatrics and Adult Care
Springville, NY
09.2001 - 04.2004
Greeted patients and pharmaceutical representatives.
Verified and updated patients' insurance information in the computer.
Highlighted patient arrivals and retrieved patient charts for scheduled appointments for doctors.
Print provider schedules for doctors and nurses.
Contacted, verified, and entered verifications of member eligibility and PCP information from insurance companies and Healthenet, and confirmed next day appointments.
Follow-up on patients that missed scheduled appointments.
Faxed,copied and mailed correspondence for patients and doctors.
Received co-pays from patients.
Scheduled follow-up appointments and tests for patients.
Entered ICD-9, CPT Codes, and payments from encounters, post charges and payments in Medent.
Balanced day's transactions, print charge reconciliation, and Day Sheets at end of day.
When closing-balanced day's transactions, print Day Sheets and Summary of Receipts of check-out staff and open encounter list.
Answered incoming phone calls, take phone messages for doctors and clinical, and direct phone calls to nurses, doctors, various departments within the office.
Medical Records Clerk
Buffalo Family Practice/Promedicus Health Group
Buffalo, NY
09.1996 - 08.2001
Trained and mentored new employees.
Involved in the initiation and set-up of out guides and realphabetizing the medical records department for the Orchard Park Office.
Filed records in chronological order daily in appropriate sections of patients' charts and kept records in proper order.
Sorted and stored all patient records and maintained filed and records in a confidential manner.
Pulled charts as needed
Education
Certificate Of ICD-10-CM Proficiency - AAPC Medical Coding Curriculum
AAPC
02.2015 - 02.2015
CMBS Certification From Medical Association Of Billers - CMBS
Bryant And Stratton Professional Skills Center
08.2005 - 08.2005
CPC Certification From AAPC Medical Coding - AAPC Medical Coding Curriculum
Bryant And Stratton Professional Skills Center
11.2003 - 11.2003
RIM Certificate in Records And Information Management - Records And Information Management
Erie Community College /South
Orchard Park, NY
05.1996 - 05.1996
Associate of Applied Science - A.A.S Degree in Office Technology
Erie Community College /South
Orchard Park, NY
05.1992 - 05.1992
North Collins Central
North Collins, NY
Skills
Accounting, AAPC Medical Coding Curriculum, CMBS Medical Billers Curriculum, American Sign Language I and II, Computer, Machine Transcription, Typing, Shorthand, Business Communications, Office Procedures, knowledge in Medical Terminology and operating office equipment
Records Management, Records/Information Management Applications, Records and Information Supervision, and Archival Administration and Technology
Working knowledge of various microcomputer software: Medent, Healthenet, Healthelink, EPIC (Catholic Health), Kaleida Inflocique, Quest, Centricity, Sigma Care, Rehab Optima, Microsoft Excel, Word Perfect 50 and 51, DBASE III, Lotus 1-2-3, Desk Top Publishing, Enable, FileMaker Pro, Microsoft Word, and Pro Write
Typing (60wpm) and Shorthand (80wpm)
Timeline
Certificate Of ICD-10-CM Proficiency - AAPC Medical Coding Curriculum
AAPC
02.2015 - 02.2015
Medical Records
Southwestern Medical Associates/GPPC SWMA
04.2014 - Current
Rehab Secretary
GRNC
10.2010 - 11.2014
Receptionist
Robert J. Erickson, LLP
09.2009 - 08.2010
CMBS Certification From Medical Association Of Billers - CMBS
Bryant And Stratton Professional Skills Center
08.2005 - 08.2005
Medical Billing Clerk
Eye Care and Vision Associates
06.2004 - 07.2009
CPC Certification From AAPC Medical Coding - AAPC Medical Coding Curriculum
Bryant And Stratton Professional Skills Center
11.2003 - 11.2003
Check-In & Check-Out
Springville Pediatrics and Adult Care
09.2001 - 04.2004
Medical Records Clerk
Buffalo Family Practice/Promedicus Health Group
09.1996 - 08.2001
RIM Certificate in Records And Information Management - Records And Information Management
Erie Community College /South
05.1996 - 05.1996
Associate of Applied Science - A.A.S Degree in Office Technology
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